Masuda Zenichi, Murakami Takashi, Shishido Eishun, Kuinose Masahiko
Department of Cardiovascular Surgery, Iwakuni Clinical Center, Yamaguchi, Japan.
Asian Cardiovasc Thorac Ann. 2008 Jan;16(1):e4-6. doi: 10.1177/021849230801600127.
We present a 78-year-old man who developed Stanford type A aortic dissection seven years after aortic valve replacement. At the previous operation, the diameter of the ascending aorta was 40 mm. Three years later, computed tomography revealed the diameter to have expanded to 50 mm. Four years later, the patient developed aortic dissection with entry at the ascending aorta, and a graft replacement was performed.
我们报告一例78岁男性患者,其在主动脉瓣置换术后7年发生了A型主动脉夹层。在上次手术时,升主动脉直径为40mm。3年后,计算机断层扫描显示直径已扩大至50mm。4年后,患者在升主动脉处发生主动脉夹层,并进行了人工血管置换术。